{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T02:42:17Z","timestamp":1783132937974,"version":"3.54.6"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T00:00:00Z","timestamp":1651190400000},"content-version":"vor","delay-in-days":118,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>The present study evaluated the possible effect of low\u2010intensity pulsed ultrasound (LIPUS) on buccal bone plate thickness and height after maxillary arch expansion using clear aligners. The cone beam computed tomography (CBCT) of before and immediately after maxillary arch expansion (3\u2009mm per side) of 28 adult patients (18 in LIPUS group and 10 in control) (average age 36.2 \u00b1 13.2 years old) was analyzed. The wearing protocol of clear aligners in the LIPUS group was to change the aligners every 4 to 5 days, while the wearing protocol in the control group (without LIPUS) was to change the aligners every 7 to 10 days. Bone thickness at 3\u2009mm and 6\u2009mm from the buccal alveolar bone crests, along with the measurements of buccal alveolar bone heights, was measured in standardized sagittal sections. Data were analyzed through paired sample <jats:italic>t<\/jats:italic>\u2010test and the Wilcoxon test. The results were given as mean \u00b1 standard\u2009deviation and 95% confidence intervals. <jats:italic>p<\/jats:italic> value &lt; 0.05 was considered statistically significant. The results showed significant increase in bone height in both groups. However, comparison of both LIPUS and control groups showed no statistically significant difference in bone thickness or bone height. The results of this study showed that the use of LIPUS together with accelerated aligner tray change protocol did not affect alveolar bone integrity when compared to the control group.<\/jats:p>","DOI":"10.1155\/2022\/4505063","type":"journal-article","created":{"date-parts":[[2022,4,30]],"date-time":"2022-04-30T00:20:08Z","timestamp":1651278008000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effect of Low\u2010Intensity Pulsed Ultrasound (LIPUS) on Alveolar Bone during Maxillary Expansion Using Clear Aligners"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9852-490X","authenticated-orcid":false,"given":"Maha","family":"Bahammam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek","family":"El-Bialy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,29]]},"reference":[{"key":"e_1_2_10_1_2","first-page":"315","article-title":"Guidelines for contemporary air-rotor stripping","volume":"41","author":"Chudasama D.","year":"2007","journal-title":"Journal of Clinical Orthodontics"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02190235"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2015.07.034"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2006.01.015"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1179\/bjo.7.1.41"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2015.11.024"},{"key":"e_1_2_10_7_2","first-page":"670","article-title":"The Damon low-friction bracket; a biologically compatible straight-wire system","volume":"32","author":"Damon D. 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